| NPI | 1649364001 |
|---|---|
| Former Name | MARITZA LEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-07-02 |